Provider Demographics
NPI:1710991906
Name:GEORGE, ANNA K (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:K
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANIA
Other - Middle Name:
Other - Last Name:KUJAWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 202110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78720-2110
Mailing Address - Country:US
Mailing Address - Phone:512-732-2774
Mailing Address - Fax:855-959-1863
Practice Address - Street 1:5656 BEE CAVES RD
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:512-732-2774
Practice Address - Fax:512-331-5192
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0260207K00000X
AZ35827208000000X
CO47635207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO39051013Medicaid
COCO305158Medicare PIN
CO39051013Medicaid